PruCare - Vitality Health Insurance

PruCare
There every step of the way
At PruHealth we know how difficult it is for
someone when they are diagnosed with a
complex and life threatening condition.
That’s why we have our dedicated PruCare team to support members
and their families through what can be a difficult and stressful time.
We’ll also make sure they have access to the best possible medical care
and treatment.
Maeve, qualified nurse and a Case Manager in the PruCare team
PruCare | PruHealth
There every
step of the way
Medical professionals and dedicated
case managers
PruCare is a crucial team for our members offering a dedicated, doctor led service. The
team is made up of medical professionals, including doctors, nurses and technical claims
associates.
Members who need treatment for cancer, psychiatry or any other complex and high
cost treatment will be given a personal point of contact in the PruCare team, their own
dedicated case manager.
Their case manager will understand the member’s situation, providing support for them
and their family at what can be a difficult time.
PruCare | PruHealth
Focus on
getting better
Helping members get the best from
their plan
The PruCare team are here to make the treatment process as straightforward as possible.
Whether it’s facilitating access to a faster diagnosis, providing information on treatment at
home (where possible) or our NHS Cash Benefit options, they help members get the best
from their plan, helping to provide peace of mind.
Over a quarter
of a billion pounds
Over £1/4bn worth of claims are
paid by PruHealth each year
Our care network offers access to
21,000 specialists and 200 hospitals,
looking after 1/2 million people
Source: PruHealth data, 2012
Access our extensive care network
At PruHealth we look after the health and wellbeing of over half a million people from
individuals to corporate employees.
We provide our members with access to an extensive care network including hundreds of
the best private hospitals in the UK and thousands of clinical specialists.
PruCare | PruHealth
40% of workplace sickness
absence is attributed to
mental health conditions.*
Caring for the mind and body
It’s not only the physical health of our members we look after, but their mental
wellbeing too. We pay for consultations and treatment with a psychiatrist or psychologist.
If our members need a stay in hospital, we pay for that as well.
Psychiatric cover is optional, so not all members will have this cover.
Source* Sainsbury’s Centre for Mental Health
PruCare | PruHealth
More than 1 in 3 people in
the UK will develop cancer
in their lifetime.*
Cancer drugs can be very expensive.
In 2011 the average of our top ten cancer
claims was over £120,000.
Based on an average premium of
£720, that’s 167 years of premium.
Peace of mind with Full Cancer Cover
If our members are diagnosed with cancer, our Full Cancer Cover provides just that.
It covers in-patient and out-patient costs in full, including:
• Radiotherapy, chemotherapy and follow-up consultations
• Biological therapies
• Hormone and bisphosphonate therapies
• Cancer surgery and reconstructive surgery
• Stem cell transplantation.
If the cancer is no longer treatable, we pay for our members to have care that can relieve
their symptoms. This includes pain relief at the end stage of cancer. Our members have
peace of mind they will receive the best possible medical care available.
Customers can choose to downgrade their cancer cover for a small reduction in premium. This limits cover for
biological, hormone and bisphosphonate therapies.
Source* Cancer Research statistics
The average cost per patient for a
course of the following drugs used for
the treatment of cancer in 2011 were:
Avastin
used to treat colorectal and
lung cancer – £70,000
Herceptin
used to treat breast cancer – £60,000
Sutent
used to treat kidney cancer and cancer
of the digestive system – £40,000
Access to the latest drugs
and treatments
New drugs and treatments are being developed all the time. But they’re
not always covered by the NHS.
If a member’s consultant suggests a new drug or treatment, and our
clinical team can see that it’s helping other patients, we’ll cover it even if
the NHS won’t.
PruCare | PruHealth
£7.5 million
In 2011 through the work we do with hospitals,
consultants and providers we saved £7.5m.
That would fund a course of
Avastin, used to treat colorectal
and lung cancer, for over 105 members
or
Herceptin, used to treat
breast cancer, for 125 members
or
Sutent – used to treat kidney cancer and cancer
of the digestive system, for over 185 members.
Always managing costs, but never
compromising care
We regularly assess our relationships with care providers in our network and
clinical treatments offered, to provide our members with access to the best possible
medical care.
We always manage our costs ensuring best value for money, but never compromise the
quality of care our members receive.
A word from our members
PruCare
You only have to speak to one person so there is no need to
keep repeating your story
Medical professionals and dedicated case managers
Julie’s voice was like a great comfort blanket to me
A caring friendly voice at the end of the phone
Neville always phoned me to see how I was doing and really
helped to boost my confidence when it was at its lowest
Helping members get the best from their plan
Access our extensive care network
Caring for the mind and the body
Peace of mind with Full Cancer Cover
Access to the latest drugs and treatments
Always managing costs but never compromising care
Peace of mind
PruHealth is a trading name of Prudential Health Limited, Prudential Health Insurance Limited and Prudential Health Services Limited. Registered numbers 05051253, 02123483 and 05933141
respectively. Prudential Health Limited and Prudential Health Insurance Limited provide and manufacture benefits under the PruHealth product. Prudential Health Services Limited distributes and
services the PruHealth product and issues the documentation. Companies registered in England and Wales. Registered offices at Laurence Pountney Hill, London EC4R 0HH. All authorised and
regulated by the Financial Services Authority. Calls may be recorded / monitored to help improve customer service. Call charges may vary.
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